Zulma Lopez Rivera, MD is a medicare enrolled "General Practice" physician in Interlachen, Florida. Her current practice location is
1114 Sr 20, Ste 100, Interlachen, Florida. You can reach out to her office (for appointments etc.) via phone at
(386) 684-0195.
Zulma Lopez Rivera is licensed to practice in Florida (license number ACN1778) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770991341.
Physician's Profile
| Full Name | Zulma Lopez Rivera |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 1114 Sr 20, Interlachen, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770991341
- Provider Enumeration Date: 07/28/2014
- Last Update Date: 12/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 0941429484
- Enrollment ID: I20140916002141
Medical Identifiers
Medical identifiers for Zulma Lopez Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770991341 | NPI | - | NPPES |
| ACN1778 | Other | FL | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | ACN1778 (Florida) | Primary |
| 208D00000X | General Practice | 18795 (Puerto Rico) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Zulma Lopez Rivera allows following entities to bill medicare on her behalf.
| Entity Name | Neomed Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790776334 PECOS PAC ID: 1850284100 Enrollment ID: O20040414001654 |
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| Entity Name | Community Health Foundation Of Puerto Rico Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881016020 PECOS PAC ID: 6002046786 Enrollment ID: O20140225000436 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Zulma Lopez Rivera is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Zulma Lopez Rivera, MD 2460 Old Moultrie Rd Ste 1, St Augustine, FL 32086-4198 Ph: (904) 293-0299 | Zulma Lopez Rivera, MD 1114 Sr 20, Ste 100, Interlachen, FL 32148 Ph: (386) 684-0195 |
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